Cape Cod Post Acute Care
383 South Orleans Road · Brewster, MA · 02631 · 5082403500
135 certified beds For profit - Limited Liability company Chain: Marquis Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 8 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $298,483 |
Inspection citations (69 in the current record)
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Potential for harm · E May 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 3, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 3, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 3, 2025 · Pharmacy Service
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Potential for harm · D May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 3, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 3, 2025 · Infection Control
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Potential for harm · E May 8, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 3, 2025 · Infection Control
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Potential for harm · E May 8, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 3, 2025 · Infection Control
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Potential for harm · D April 29, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · H March 19, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 26, 2024 · Resident Rights
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Actual harm · G March 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 26, 2024 · Resident Assessment and Care Planning
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Actual harm · G March 19, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 26, 2024 · Quality of Life and Care
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Actual harm · H March 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2024 · Quality of Life and Care
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Actual harm · H March 19, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · E March 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 24, 2024 · Resident Rights
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Potential for harm · D March 19, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 24, 2024 · Resident Rights
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Potential for harm · E March 19, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 26, 2024 · Resident Rights
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Potential for harm · D March 19, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · F March 19, 2024
Provide activities to meet all resident's needs.
Corrected April 26, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2024 | Fine | $298,483 |
| March 19, 2024 | Payment Denial | 38 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225667 · certified since February 16, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.